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  1. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-12.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.12. Lean Project Roles Mapped to Functional Roles Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …
  2. www.ahrq.gov/evidencenow/tools/ui-treatment-algorithm.html
    June 01, 2025 - Urinary Incontinence Treatment Algorithm This document is a table of contents providing links to a suite of tools supplied by the University of Wisconsin practice facilitation team to support implementation of screening for and treating urinary incontinence. Resources include a UI treatment algorithm, patient e…
  3. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide67.html
    October 01, 2014 - 67. For the Patient Willing To Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued) Provide intra-treatment social support. Provide a supportive clin…
  4. www.ahrq.gov/pqmp/measures/preferred-language.html
    August 01, 2021 - Caregivers of children discharged from the hospital whose preferred language is other than English should report that they received discharge education in their preferred language Measure Domain:  Management of Acute Conditions Measure Sub-Domain:  Transitions between Sites of Care: Hospital to Home PQMP CO…
  5. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
  6. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-3.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
  7. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-4.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42702/psn-pdf
    January 09, 2014 - Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. January 9, 2014 Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41062/psn-pdf
    July 02, 2014 - Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. July 2, 2014 Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. 2012;87(2):168-71. doi:10.1097/ACM.0b013…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39036/psn-pdf
    October 21, 2009 - Disclosing medical errors to patients: a challenge for health care professionals and institutions. October 21, 2009 Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018. https://psnet.ahrq.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42929/psn-pdf
    February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath? February 5, 2014 Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath This commentary discusses how health ca…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34036/psn-pdf
    March 28, 2005 - National Center for Patient Safety Falls Toolkit 2004. March 28, 2005 Department of Veterans Affairs (VA) National Center for Patient Safety https://psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004 The National Center for Patient Safety created the Falls Toolkit to assist VA facilities in impl…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39830/psn-pdf
    April 17, 2011 - 2010 Annual National Patient Safety Foundation Congress: conference proceedings. April 17, 2011 Pinakiewicz DC, Bonacum D, Youngberg BJ, et al. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. J Patient Saf. 2010;6(3):128-36. https://psnet.ahrq.gov/issue/2010-annual-national-patient…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846166/psn-pdf
    March 15, 2023 - Minimize medication errors in urgent care clinics. March 15, 2023 Coffey SB. American Nurse Journal. Epub March 2, 2023. https://psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics Urgent care clinics offer services to a wide patient base that increase the complexities of medication prescribing and…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45370/psn-pdf
    July 27, 2016 - Correct use of inhalers: help patients breathe easier. July 27, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6. https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39622/psn-pdf
    June 23, 2010 - Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. June 23, 2010 Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47056/psn-pdf
    April 20, 2022 - Healthcare Simulation Week. April 20, 2022 Society for Simulation in Healthcare. https://psnet.ahrq.gov/issue/healthcare-simulation-week Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance individual and team performance. This website provides promotional materials f…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38695/psn-pdf
    June 10, 2009 - Medical students benefit from learning about patient safety in an interprofessional team. June 10, 2009 Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111/j.1365-2923.2009.03328.x. https://psnet.ah…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41514/psn-pdf
    July 02, 2014 - Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. July 2, 2014 Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257d57d. https://psnet.ahrq.gov/issue/pers…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37835/psn-pdf
    July 31, 2008 - Medical students' experiences with medical errors: an analysis of medical student essays. July 31, 2008 Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. https://psnet.ahrq.gov/issue/medical…